Individual provider Active NPI

Sharon Lynn Miller, PH.D. LMHC, LCCT

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1336498047
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13813 Issued in FL
Practice address
319 Gaile Ave
Tallahassee, FL 32305-5202
Phone
(850) 764-1150
Fax
(833) 975-0096
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH13813 FL Primary

Addresses

Primary practice location

319 Gaile Ave
Tallahassee, FL 32305-5202

Mailing address

319 Gaile Ave
Tallahassee, FL 32305-5202
Phone (850) 764-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241003003674 FL Practitioner - Mental Health Counselor 6709317506 Practice locations: Tallahassee, FL
I20250416002010 MI Practitioner - Mental Health Counselor 6709317506 Practice locations: Rudyard, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15285 S Tilson Rd
Rudyard, MI 49780-9366
Phone (850) 557-7728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH13813FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons of Life Counseling, LLC Mental Health CurrentSince Jul 17, 2024 Accepting new patients
Four Seasons Counseling,LLC Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1336498047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GAILE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323055202",
            "telephone_number": "850-764-1150",
            "fax_number": "833-975-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GAILE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323055202",
            "telephone_number": "850-764-1150",
            "fax_number": "833-975-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D. LMHC, LCCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.